Eczema Around Stitches: When to See a Dermatologist After Surgery - Dermatology

More Info

---

Eczema around stitches, especially after surgery, can be a concerning issue for many patients. In your case, it seems that you have developed a reaction to the adhesive used for your stitches, leading to redness and swelling around the surgical site. This reaction has been diagnosed as eczema by your plastic surgeon, and you have already started a treatment regimen that has shown some improvement. However, you are still experiencing persistent redness, which understandably raises concerns about potential scarring once the stitches are removed.

First, it's important to understand that eczema, or dermatitis, can occur as a reaction to various irritants, including adhesives, and can manifest as redness, swelling, and sometimes oozing. The fact that your symptoms have improved with medication is a positive sign, but the lingering redness can be frustrating.
In terms of whether to see a dermatologist now or wait until after your stitches are removed, there are a few factors to consider:
1. Severity of Symptoms: If the redness is accompanied by increasing pain, swelling, or any signs of infection (such as pus or fever), it would be prudent to seek dermatological care sooner rather than later. Infections can complicate healing and lead to more significant scarring.

2. Response to Treatment: Since you have already been on medication for three days with some improvement, it might be worth waiting a little longer to see if the redness continues to decrease. However, if there is no further improvement or if the redness worsens, a dermatologist could provide additional treatment options, such as topical steroids or other anti-inflammatory medications.

3. Impact on Healing: You are right to be concerned about how the redness might affect the healing of your surgical site. Persistent inflammation can lead to more noticeable scarring. A dermatologist can assess the area and may offer treatments that can help reduce inflammation and promote better healing.

4. Timing of Stitches Removal: If your stitches are due to be removed soon, it might be beneficial to discuss your concerns with your plastic surgeon during your next follow-up visit. They can evaluate the healing process and determine if any adjustments to your treatment plan are necessary.

In summary, while it may be tempting to seek immediate care from a dermatologist, it could be beneficial to monitor your symptoms for a few more days, especially since you have already started treatment. If you notice any worsening of your condition or if the redness does not improve, do not hesitate to reach out to a dermatologist for a more specialized evaluation. They can provide targeted treatments that may help alleviate your symptoms and improve the overall appearance of your surgical site. Remember, effective communication with your healthcare providers is key to managing your recovery and ensuring the best possible outcome.